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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> Test Type ❑ Pressure ❑ Vacuum x Hydrostatic <br /> Tank ID T1:Diesel F T2: 91 Fill <br /> Spill Container Manufacturer: OPW OPW <br /> xNonmetallic xNonmetallic Nonmetallic El Nonmetallic <br /> Method of Cathodic Protection ❑Other ❑Other ❑Other <br /> ❑Other <br /> Is the spill container minimum x Yes x Yes Yes ❑Yes <br /> capacity five gallons excluding riser No* El No* ❑No* El No* <br /> volume? <br /> Method to keep spill container xDrain xDrain Drain ❑Drain❑Pump ❑Pump ❑Pump ❑Pum <br /> empty p <br /> ❑Other El Other ❑Other ❑Other <br /> Spill Container Test Results xPass xPass Pass ❑Pass <br /> Fail ❑Fail Fail ❑Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection El Nonmetallic ❑Nonmetallic ❑Nonmetallic El Nonmetallic <br /> ❑Other ❑Other ❑Other ❑Other <br /> Is the spill container minimum ❑Yes ❑Yes ❑Yes ❑Yes <br /> capacity five gallons excluding riser El No ❑No* 11 No* ❑No* <br /> volume? <br /> Method to keep spill container ❑Drain ❑Drain []Drain ❑Drain <br /> empty ❑Pump ❑Pump ❑Pump ❑Pump <br /> ❑Other ❑Other ❑Othe"ElFail❑Other <br /> Spill Container Test Results ❑Pass ❑Pass ❑PassEl <br /> ❑Fail ❑Fail []Fail <br /> 8. COMMENTS <br /> Describe allanswers marked "Other,""No,"or"Fail'and each proposed remedy. <br /> * Mark here if: <br /> ❑ Spill containers do not have a minimum capacity of five gallons and require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />